학술논문
Clinical and cost-effectiveness analysis of early detection of patients at nutrition risk during their hospital stay through the new screening method CIPA: a study protocol
Document Type
article
Author
José Pablo Suárez-Llanos; Néstor Benítez-Brito; Laura Vallejo-Torres; Irina Delgado-Brito; Adriá Rosat-Rodrigo; Carolina Hernández-Carballo; Yolanda Ramallo-Fariña; Francisca Pereyra-García-Castro; Juan Carlos-Romero; Nieves Felipe-Pérez; Jennifer García-Niebla; Eduardo Mauricio Calderón-Ledezma; Teresa de Jesús González-Melián; Ignacio Llorente-Gómez de Segura; Manuel Ángel Barrera-Gómez
Source
BMC Health Services Research, Vol 17, Iss 1, Pp 1-9 (2017)
Subject
Language
English
ISSN
1472-6963
Abstract
Abstract Background Malnutrition is highly prevalent in hospitalized patients and results in a worsened clinical course as well as an increased length of stay, mortality, and costs. Therefore, simple nutrition screening systems, such as CIPA (control of food intake, protein, anthropometry), may be implemented to facilitate the patient’s recovery process. The aim of this study is to evaluate the effectiveness and cost-effectiveness of implementing such screening tool in a tertiary hospital, consistent with the lack of similar, published studies on any hospital nutrition screening system. Methods The present study is carried out as an open, controlled, randomized study on patients that were admitted to the Internal Medicine and the General and Digestive Surgery ward; the patients were randomized to either a control or an intervention group (n = 824, thereof 412 patients in each of the two study arms). The control group underwent usual inpatient clinical care, while the intervention group was evaluated with the CIPA screening tool for early detection of malnutrition and treated accordingly. CIPA nutrition screening was performed upon hospital admission and classified positive when at least one of the following parameters was met: 72 h food intake control